IF YOU SUSPECT HUMAN TRAFFICKING IN THE UNITED STATES PLEASE

CALL 1-888-373-7888 or TEXT “Help” to BEFREE.

24 hours, 7 days a week

English, Spanish, and 200 more languages

humantraffickinghotline.org

If you are a survivor and need services, call Her Song at 904.513.0203.

If you need emergency assistance, call 911.

REFER A CANDIDATE

Before you fill out the following application
please make sure you have properly screened the applicant for human trafficking.

RESIDENTIAL APPLICATION

STEP 1: IDENTIFY HER ELIGIBILITY FOR RESIDENTIAL. IS SHE AT LEAST 18 YEARS OLD?

She has been compelled to provide sexual services or labor services through the use of either force (violence), fraud (lies), or coercion (threats); or
She engaged in commercial sexual exploitation (pornography, stripping, etc.) through the use of either force
(violence), fraud (lies), or coercion (threats); or
She engaged in survival sex (meaning: she provided sexual services in exchange for basic needs of food, shelter,
safety, etc.)

Our program is for young women who are preparing to transform their lives. The ideal candidate for Her Song’s residential program is someone that is willingly entering a program to better her life. We ask that she be:

sober and has been through detox if needed
considering the cost of change to her personally
willing to do the hard work it will require to build a new life
not suicidal or a threat to others, no history of violence, and not using controlled substances

STEP 2: EDUCATE YOUR REFERRAL. IS SHE READY TO BE EMPOWERED AND DISCOVER HER STRENGTHS? WE WILL ASK HER TO:

We are a sober-living program offering a fresh start in life. Our program will assist her in meeting her physical, emotional, mental, social and spiritual needs. She needs to be willing to let go of old unhealthy relationships in order to work on herself and also willing to let go of social media and internet use while she is in early recovery phases.

Here are a few important tips to share:

This is a PROGRAM is based on empowerment and taking responsibility for herself.
This program has specific activities , a schedule, and phases of progression that will move her toward health and self-sufficiency
The house requires shared spaces and shared chores.
She must be willing to be sociable and build healthy relationships.
She will be expected to participate in counseling, house meetings, vocational training, and other varied program activities.

STEP 3: CLIENT APPLICATION FOR PROGRAM:

Next, your referral will need to be available for a phone or in-person interview.

The first interview will be with our Residential Director. Prepare her to be asked questions about her present situation or provide the information to us so that we don’t have to ask her again and risk re-traumatization. Encourage her to be herself and to be truthful. Please reassure your referral we will not judge her. We will work to build rapport wit her.
At this time complete the application and submit to hersongjax.org via the email provided on the application. A follow-up call will be made by our agency to discuss our program in more details and address any questions she may have.

The referring agency will be notified by our director once your referral is eligible.

STEP 4: PREPARING TO BRING HER HOME:

In preparation for the Intake Process, please make every effort to collect the following background documents:

any discharge papers from hospital, detox, rehab, or psychiatric programs
any legal documents, outstanding financial obligations, important contacts
recent drug/alcohol test (within the last 2 weeks)
recent medical test
identification
insurance documents
parole or probation reporting requirements

We will work with you to arrange for her transportation to our facility. Upon arrival, we will complete all intake paperwork for the residential program.

PLEASE NOTE

Her Song is not equipped to provide services to individuals who meet the following conditions:

is actively addicted to substances, including methadone or suboxone
has custody of a child/children for whom she must provide care and housing
is in a romantic relationship that she desires/expects to continue
suffers from acute/debilitating mental illness or medical diagnosis
is unwilling to step-down from prescribed narcotic
is trying to escape a warrant
has legal obligations/court orders that would require travel out of state during within one year